CPT® Code 0052T

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The procedure described by CPT® Code 0052T pertains to the replacement or repair of the thoracic unit of a total replacement heart system, commonly referred to as an artificial heart. This intervention is typically performed in patients who are awaiting a donor heart, providing a temporary solution to sustain life. The process begins with a median sternotomy, which is a surgical incision made along the sternum to access the thoracic cavity. Once the heart is exposed, cardiopulmonary bypass is established to take over the function of the heart and lungs during the surgery, allowing the surgical team to operate on a still and bloodless field. The diseased heart is then removed through a procedure known as cardiectomy. Following this, the artificial heart is carefully inserted into the chest cavity, and the coronary arteries are connected to the appropriate outlets of the artificial heart to ensure proper blood flow. After the artificial heart is in place, the patient is gradually weaned off the cardiopulmonary bypass. To facilitate recovery, chest tubes are placed to drain any excess fluid or air, and the chest incisions are subsequently closed. It is important to note that CPT® Code 0052T specifically refers to the replacement of the pump of the artificial heart, while related procedures, such as CPT® Code 0053T, involve the replacement of other components, like an oxygenator.